Gynaecologist, Delhi

Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.

More about Dr. Nisha Lekha

Dr. Nisha Lekha is a trusted Gynaecologist in Hauz Khas, Delhi. She is currently associated with Lekhas Nursing Home in Hauz Khas, Delhi. You can book an instant appointment online with Dr. Nisha Lekha on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 27 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

You have homoeopathy as an alternative. Side effects of oral contraceptives are endless like weight gain, mood changes, breast pain, nausea and decreased menstrual bleeding they also increased risk of heart diseases, liver diseases and vascular diseases like dvt.
Regards
Dr Rajesh Suthar

Most people will give you a blatant NO. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere:

Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink?

Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is no "safe" amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

There are a huge number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called "Fetal Alcohol Spectrum Disorder". It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect a girls and boys differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction.

Also note that the term "non-alcoholic" beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

As your wife is 37, there is little time left. Quickly check her fertility status after consulting infertility specialist and having some basic tests. Now, regarding you, first get semen analysis done and consult doctor as we need to know the cause of low testosterone and whether it affected your sperms or not. then we can formulate treatment plan.

It is common belief that people are highly interested in sex. However, this is not true. There are a lot of reasons which can reduce this sexual drive, known as libido. The reasons and therefore the causes are slightly different in men and in women. Read on to know some of the most common causes of reduced arousal in men and women and how to deal with it.

Causes of reduced arousal in men:

• Physiologically, sex is greatly influenced by the sex hormones and with age, as there is a gradual decline in the amount of these hormones in circulation, the sex drive also takes a dip. This need not be the case though.

• Stressed relationships is extremely common and though hormones have a big role to play, the mind is equally if not more important. If the couples are not happy, there is going to be no sex. As plain as that!

• Excessive smoking can reduce a person’s sexual arousal and even affect performance.

• Prescription medicines, lack of exercise, anxiety and depression are other causes that also reduce sexual desire.

Management measures:

• Testosterone replacement therapy in males is often used to boost sexual drive.

• Lifestyle changes including regular exercise, quitting or controlled smoking, stress management, healthy relationships can go a long way in improving sexual performance.

• If there are medications that are affecting the sexual drive, talk to your doctor and switch to an alternative.

• Counselling where the partner is also involved also is very important.

Women: The causes for low sexual drive in females is very different from men.

• Cultural differences: The cultural background and upbringing contribute in a big way to how responsive a person is. When it comes to sex, we as a country are still not very frank and open, and so there could be a perceived lack of desire. This is of course in the initial stages of a relationship and given some time, things would change.

• Relationship issues: Stressed relationships are definitely a big no-no for a physical relationship. Happy relationships definitely invite a lot more intimacy between the couple.

• Hormones: Testosterone which is present in both males and females affects sexual drive in women also. This hormone also gradually reduces over age, and causes some loss of libido.

In managing this issue in women, psychology takes over a bigger role. Talking to the woman first and if required the partner helps in solving the issues in most women. Medical conditions, if present, should be corrected to address this issue. Hormone replacement and medication substitution also may be helpful if required. If you wish to discuss about any specific problem, you can consult a sexologist.

MBBS Bachelor of Medicine and Bachelor of Surgery, Fellow of The Royal Society of Health, Certification In Sexologist

Sexologist, Delhi

Chlamydia is caused by the bacteria Chlamydia trachomatis and doesn't have any defined symptoms and hence, most people who suffer from it are not even aware of their status. Of all the sexually transmitted diseases, Chlamydia is the most common.

And, since it doesn't have any defined symptoms, it is transmitted unknowingly from one person to another. Chlamydia can also be passed on from mother to child, if the mother suffers from Chlamydia while she is pregnant. Here are a few things you should know about this sexually transmitted disease.

Symptoms: Symptoms of Chlamydia are noticeable within 1-3 weeks of unprotected intercourse. The symptoms of Chlamydia are different in men and women.

A simple urine test or lab test can be used to diagnose Chlamydia. For the lab test, the doctor will take a sample swab from a man's urethra or a woman's cervix.

Once diagnosed, Chlamydia can be easily treated. In most cases, oral antibiotics will cure the patient in a week or two. It is important to complete the antibiotic course even if the symptoms disappear early. In some cases, women with severe Chlamydia may need to be hospitalized for intravenous treatment.

With Chlamydia, it is important not only for you to get yourself treated, but to also get your partner treated. This will eliminate the chances of the disease recurring. You must also test yourself after three months to ensure that the disease has been completely cured.

Chlamydia can affect your health badly, if left untreated. It can cause pelvic inflammatory disease in women, which may make the woman infertile by affecting her fallopian tubes. It could also increase the risk of an ectopic pregnancy and premature birth. Further, remember that Chlamydia can also be passed on from mother to child if left untreated. This can cause the newborn to have an eye infection or pneumonia at the time of birth. If left untreated in men, Chlamydia can cause nongonococcal urethritis, epididymitis and proctitis. The first is an infection of the urethra; the second, an infection of the tube that carries the sperm from the testis and the third is an inflammation of the rectum.

Like all STDs, Chlamydia can be prevented by the use of a condom and fidelity between sexual partners.

In case you have a concern or query you can always consult an expert & get answers to your questions!

10 days from the start of menses and 10 days before from the next expected days are the safe days. But use of condom is still suggested even in these days also as nothing gives 100% protection. You can have sex even during your menses days also.